Parameter Set Antiarrhythmic Drugs - LC-MS/MS

Parameter Set Antiarrhythmic Drugs - LC-MS/MS

   
  • Acebutolol
  • Ajmaline
  • Amiodarone
  • Aprindine
  • Atenolol
  • Bisoprolol
  • Debutyldronedarone
  • Desethylamiodarone
  • Diltiazem
  • Disopyramide
  • Dronedarone
  • Flecainide
  • Flunarizine
  • Gallopamil
  • Hydroquinidine
  • Lidocaine
  • Metoprolol
  • Mexiletine
  • Norverapamil
  • Propafenone
  • Propranolol
  • Quinidine
  • Sotalol
  • Tocainide
  • Verapamil

Order no.: 92923, 92111, 92110

Encompasses 25 analytes
3PLUS1® Multilevel Calibrator Set available
Part of the MassTox® TDM Series A

Product Name Qty
Parameter Set - Antiarrhythmic Drugs - LC-MS/MS
Order no.: 92923
BASIC Kit A for 200 tests - LC-MS/MS
Order no.: 92111/200
BASIC Kit A for 1000 tests - LC-MS/MS
Order no.: 92111/1000
MassTox® TDM MasterColumn® A
Order no.: 92110

Description

Clinical relevance

Antiarrhythmic drugs are used for the treatment of cardiac arrhythmia to reduce their frequency or intensity. The severity of ventricular and supraventricular rhythm disturbances ranges from harmless extra beats through to complex multiple blows and life-threatening tachycardia. By using antiarrhythmic agents, it is possible to restore a normal electrical cardiac activity. Since antiarrhythmic drugs are an inhomogeneous group, in their chemistry and mechanisms of action, various side effects and drug interactions have to be considered. Their use should be monitored by ECG monitoring, electrolyte and plasma level determinations, in particular when starting new drug regimens. As each antiarrhythmic drug possesses a pro-arrhythmic potential, it also can cause cardiac arrhythmia. Furthermore, there are drug-drug interactions between the different antiarrhythmics, and therefore, combinations should be taken with extreme caution as well as with due attention to the side-effects and interaction profiles. For these reasons cardiac arrhythmia are often only treated with medication when they are very dangerous or associated with a high burden for the patient.

 

Product advantages

With the Parameter Set Antiarrhythmics in serum/plasma, 25 different drugs can be measured quickly and efficiently using LC-MS/MS. By carefully optimising all of the kit components and the chromatographic separation, matrix effects (“ion suppression”) have been minimised and the robustness of the method has been enhanced. Sample preparation is based on protein precipitation. The use of stable isotopically labelled (deuterated), co-eluting internal standards as well as the 3PLUS1® multilevel calibrator guarantees high precision and reliable quantification. The method is comprehensively validated.

The Parameter Set is a part of the Series A modular system, which enables the analysis of more than 150 parameters without switching column or changing the mobile phases, thereby minimising required workload in the laboratory. The Basic Kit A contains all components required for sample preparation and all necessary mobile phases. The MasterColumn® A is the analytical column used for the determination of all Series A analytes. Our portfolio contains further MassTox® Parameter Sets for covering more than 150 substances and metabolites.

Chromatogram

Technical Data

Method of Analysis

LC-MS/MS

Parameter

Acebutolol, Ajmaline, Amiodarone, Aprindine, Atenolol, Bisoprolol, Debutyldronedarone, Desethylamiodarone, Diltiazem, Disopyramide, Dronedarone, Flecainide, Flunarizine, Gallopamil, Hydroquinidine, Lidocaine, Metoprolol, Mexiletine, Norverapamil, Propafenone, Propranolol, Quinidine, Sotalol, Tocainide, Verapamil

Analysis Time

1.2 - 3.5 min

Limit of quantification

1.5–80 µg/l

Linearity

up to 30000 µg/l

Recovery

87–109 %

Intraassay

CV = 2–9 %

Interassay

CV = 3–8.5 %

Gradient

Gradient:
Group 1: isocratic 25 % Mobile Phase 2
Group 2: isocratic 43 % Mobile Phase 2
Group 3: isocratic 65 % Mobile Phase 2
Group 4:
0.00–0.40 min      0 % Mobile Phase 2
0.41–1.00 min    80 % Mobile Phase 2
1.01–2.90 min  100 % Mobile Phase 2
2.91–3.50 min       0 % Mobile Phase 2

Specimen

Serum/Plasma

Pre-analytic Treatment

Patient samples are stable up to 3 weeks at +2 to +8 °C. For longer storage periods keep samples frozen below -18 °C.

Sample Preparation

  • Reconstitute the Internal Standard Mix
  • Add 800 μl Internal Standard Mix to 12 ml Precipitation Reagent to form mixture A
  • Pipette 50 μl sample/calibrator/MassCheck® control into a 1.5 ml reaction vial
  • Add 25 μl Extraction Buffer, mix briefly (vortex) and incubate 2 min.
  • Add 250 μl of mixture A, mix 30 s (vortex) and centrifuge 5 min.
  • Dilute the supernatant with Dilution Buffer prior to injection (depending on the instrument sensitivity) and inject into the LC-MS/MS system.

Sample Stability

Samples are stable up to 3 days at +2 to +8 °C. For longer storage periods keep samples frozen below -18 °C.

Injection Volume

0.2–50 µl

Ionisation

ESI positive

MS/MS-Mode

MRM

Additional Info

We recommend to set the scan time to a value that allows to achieve a minimum of 10 data points over the whole peak width.

Please note

The freely available information on this website, in particular on the sample preparation, are not sufficient to work with our products. Please read instructions and warning notices on products and/or instruction manuals.

Kit Components

Calibrators

Calibrators available separately

Controls

Controls available separately

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